ICD-10-PCS Quiz Module 1
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Questions and Answers

The updates to the procedural classifications of ICD-10-PCS is completed by?

  • NCHS
  • AMT
  • CMS (correct)
  • AHIMA
  • What does CMBS-H stand for?

    Certified Medical Billing Specialist for Hospitals

    CMS updates the ICD-10-CM diagnosis codes each quarter of the year.

    False

    By using ICD-10-CM and ICD-10-PCS codes, health care diagnosis and procedural information can be collected, processed, and analyzed more effectively.

    <p>True</p> Signup and view all the answers

    What does CHDA stand for?

    <p>Certified Health Data Analyst</p> Signup and view all the answers

    Multiple sclerosis is a condition of the _________ system.

    <p>Nervous</p> Signup and view all the answers

    Code range A00-B99 is reported in which chapter of ICD-10-CM?

    <p>Certain Infectious and Parasitic Diseases</p> Signup and view all the answers

    Sammy Smith sustained a fracture of his right ulnar. This would be reported with a code from the ICD-10-CM chapter entitled:

    <p>Injury and Poisoning and Certain Other Consequences of External Causes</p> Signup and view all the answers

    Code range F01-F99 is reported in which chapter of ICD-10-CM?

    <p>Mental, Behavioral, and Neurodevelopmental Disorders</p> Signup and view all the answers

    The first chapter in the ICD-10-CM is titled Disease of the Circulatory System.

    <p>False</p> Signup and view all the answers

    The __________ for the ICD-10-CM are general rules for use of the classification independent of the guidelines.

    <p>Conventions</p> Signup and view all the answers

    The ICD-10-CM Tabular List of Disease and Injuries contains categories, __________, and codes.

    <p>subcategories</p> Signup and view all the answers

    The 'Excludes 1' note _________.

    <p>Means 'not coded here'</p> Signup and view all the answers

    Colons are used after an incomplete term to identify nonessential modifiers.

    <p>False</p> Signup and view all the answers

    The _________ abbreviation in the Index represents 'other specified' when a specific code is not available for a condition.

    <p>NEC</p> Signup and view all the answers

    What is the main term referenced in the ICD-10-CM Index for the statement 'Complex tear of lateral meniscus of the right knee'?

    <p>tear</p> Signup and view all the answers

    In the ICD-10-CM Index to Diseases and Injuries, the primary arrangement for diagnosis is by __________.

    <p>Condition</p> Signup and view all the answers

    For the statement 'adhesive shoulder joint capsulitis', what is the main term to reference in the ICD-10-CM Index?

    <p>Capsulitis</p> Signup and view all the answers

    The Alphabetic Index and the Tabular List must both be used when assigning codes.

    <p>True</p> Signup and view all the answers

    In the statement 'acute sinusitis due to allergies,' what is the modifying term?

    <p>acute</p> Signup and view all the answers

    When an admission is for treatment of a complication resulting from surgery, which code is sequenced as the principal diagnosis?

    <p>complication</p> Signup and view all the answers

    In the outpatient setting, the term 'first-listed' diagnosis is used in lieu of __________ diagnosis.

    <p>Principal</p> Signup and view all the answers

    Dr. Cook records the following diagnosis: 'Abdominal pain ruled out of colitis or gastritis.' What is the principal diagnosis?

    <p>abdominal pain</p> Signup and view all the answers

    Section IV of the ICD-10-CM Official Guidelines for Coding and Reporting contains the Diagnostic Coding and Reporting Guidelines for __________ Services.

    <p>Outpatient</p> Signup and view all the answers

    For bilateral sites, the first character of the codes in the ICD-10-CM indicates laterality.

    <p>False</p> Signup and view all the answers

    Study Notes

    ICD-10-CM Updates and Classifications

    • CMS is responsible for updating the procedural classifications of ICD-10-PCS.
    • CMS updates ICD-10-CM diagnosis codes quarterly; however, this statement is false.
    • The conventions for ICD-10-CM provide general rules for code usage, independent of specific guidelines.

    Medical Coding Specialists and Certifications

    • CMBS-H stands for Certified Medical Billing Specialist for Hospitals.
    • CHDA refers to Certified Health Data Analyst.

    Disease Classifications

    • Multiple sclerosis affects the nervous system and is classified under Chapter 6 of ICD-10-CM.
    • The code range A00-B99 is for certain infectious and parasitic diseases.
    • F01-F99 categorizes mental, behavioral, and neurodevelopmental disorders.

    Code Structures and Usage

    • Ulnar fractures are reported under "Injury and Poisoning and Certain Other Consequences of External Causes."
    • The ICD-10-CM Tabular List includes categories, subcategories, and codes.

    Coding Indicators and Notes

    • "Excludes 1" means "not coded here" and indicates that the conditions listed should not be used together.
    • Colons in the ICD-10-CM are not used for nonessential modifiers, making the previous claim false.
    • The abbreviation NEC stands for "not elsewhere classified," directing to other specific codes in the Tabular List.

    Index Arrangement and Terms

    • Diagnoses in the ICD-10-CM Index are primarily arranged by condition.
    • Main term for "Complex tear of lateral meniscus of the right knee" is "tear," while for "adhesive shoulder joint capsulitis," it is "capsulitis."
    • In modifying terms, "acute" in "acute sinusitis due to allergies" is the term to focus on.

    Principal and First-Listed Diagnoses

    • When treating complications from surgery, the complication code is the principal diagnosis.
    • In outpatient settings, "first-listed" diagnosis replaces "principal" diagnosis.
    • Principal diagnosis during inpatient discharge may be classified as "abdominal pain" when ruled out colitis or gastritis.

    Outpatient Guidelines

    • Section IV of the ICD-10-CM Official Guidelines covers Diagnostic Coding and Reporting Guidelines for outpatient services.

    Coding and Laterality

    • The first character of ICD-10-CM codes does not indicate laterality for bilateral sites, making the assertion false.
    • It’s essential to utilize both the Alphabetic Index and the Tabular List when assigning codes.

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    Test your knowledge on the first five chapters of the ICD-10-PCS updates with this quiz. It covers various concepts such as procedural classifications and medical billing specialties. Perfect for students or professionals looking to enhance their understanding of medical coding.

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